A nurse is teaching a client who is 24 hours postpartum about breastfeeding. Which of the following client statements indicates an understanding of the teaching?
“I will alternate the first breast that I offer my baby with each feeding.”
“I will store my breast milk in the refrigerator up to 48 hours.”
“I will nurse my baby once every 4 hours.”
“I will offer my baby water between feedings.”
The Correct Answer is A
Choice A reason: Alternating the first breast that is offered to the baby with each feeding is a good practice for breastfeeding because it can ensure equal stimulation and drainage of both breasts, which can prevent engorgement, mastitis, or low milk supply. Alternating breasts can also provide the baby with both foremilk and hindmilk, which have different compositions and benefits.
Choice B reason: Storing breast milk in the refrigerator up to 48 hours is not a good practice for breastfeeding because it can reduce the quality and safety of the milk. Breast milk should be stored in the refrigerator for no longer than 24 hours or in the freezer for no longer than 6 months. Breast milk should also be stored in clean, sterile containers and labeled with the date and time of expression.
Choice C reason: Nursing the baby once every 4 hours is not a good practice for breastfeeding because it can decrease the milk production and supply, which can affect the growth and development of the baby. Breastfeeding should be done on demand or at least every 2 to 3 hours during the day and every 3 to 4 hours at night. Breastfeeding should also last for at least 10 to 15 minutes per breast or until the baby is satisfied.
Choice D reason: Offering the baby water between feedings is not a good practice for breastfeeding because it can interfere with the baby's appetite and intake of breast milk, which can cause dehydration, malnutrition, or failure to thrive. Breast milk contains enough water and nutrients to meet the baby's needs for the first six months of life. Water should be avoided or limited until the baby starts solid foods.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Flushing the tubing with water every 4 hours can prevent the tubing from clogging by clearing any residual formula or medication from the lumen.
Choice B reason: Replacing the bag and tubing every 24 hours can prevent bacterial contamination, but it does not prevent the tubing from clogging.
Choice C reason: Administering the feeding by gravity drip can cause overfeeding, aspiration, or diarrhea, but it does not prevent the tubing from clogging.
Choice D reason: Heating the formula prior to infusion can cause bacterial growth, nutrient loss, or burns, but it does not prevent the tubing from clogging.
Correct Answer is C
Explanation
Choice A reason: Using liquids to clear food from the client's mouth is not a safe intervention for dysphagia. Liquids can easily enter the airway and cause aspiration, which is the inhalation of food or fluids into the lungs. Aspiration can lead to pneumonia, respiratory distress, and death.
Choice B reason: Tilting the client's head backwards to facilitate swallowing is not a safe intervention for dysphagia. This position can also increase the risk of aspiration, as it opens the airway and allows food or fluids to flow into it.
Choice C reason: Adding a thickening agent to liquids is a safe and effective intervention for dysphagia. Thickened liquids are easier to swallow and control, as they move more slowly through the mouth and throat. They also reduce the risk of aspiration, as they are less likely to enter the airway.
Choice D reason: Placing the client in a semi-Fowler's position is not a safe intervention for dysphagia. This position can also increase the risk of aspiration, as it lowers the head and neck and reduces the closure of the airway. A better position for dysphagia is upright or high-Fowler's, which elevates the head and neck and enhances the closure of the airway.
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